When Should I Submit I-693 Medical Exam?

When should we submit the I-693 medical exam results? Hi, I’m Jim Hacking, immigration lawyer practicing all throughout the United States at our office here in St. Louis, Missouri. If a foreign national marries a US citizen or is getting a green card in some other way, perhaps through employment, as part of the green card process, as part of becoming a lawful permanent resident, they are going to need to provide medical exam results from a US civil surgeon to the immigration service. And the way that that works is on a form called an I-693.

So the United States wants to make sure that immigrants who are coming to the United States do not have any diseases, communicable diseases, or otherwise. They want to know a little bit about your health history. And most importantly, they want to make sure that you’ve been vaccinated. And of course the way that you can do that is by providing proof of your vaccination records and then getting any other additional shots from a civil surgeon.

Now, a civil surgeon isn’t just any old doctor in the United States. There’s a USCIS website. If you just type in USCIS civil surgeon, you can put in your zip code. And they’ll show you all the civil surgeons that are near you. And when you go to the civil surgeon, you will provide them with whatever vaccination records you have. And then they’ll take a brief health history from you, they’ll ask you about drug use, and then they will have you fill out this form. And they will work on the form with you, and they will sign off on your medical clearance to be admitted into the United States. If you have tuberculosis or if you have other kinds of diseases, those things can come up in your medical exam. And you are going to receive a sealed envelope from the USCIS civil surgeon.

And you will include that with your application, either at the beginning when you file it or right before your interview. Now generally, we actually have a little split in the office. Most of the people around here in the office like to submit the medical exam right away with the initial application. But sometimes that slows the case down, and I like to get the case out the door. I like to get that receipt number. I like to get the case under way. And the regulations provide that if you don’t submit it right at the beginning, you can also submit it at the interview itself. The officer will take the sealed envelope. Obviously you can’t open that envelope beforehand, and they will go through and open it up. And they’ll read through the exam results, and they’ll make sure that you are okay to be admitted into the United States.

I prefer to do it later. Number one, there are a lot of costs at the beginning of a green card application. You have to pay those filing fees, you have to pay the lawyer fees, and it’s nice to push off that medical exam cost until the end. The other thing is that sometimes, in some cases, the green card interview doesn’t come for a very long time. And in the past, they’ve dinged us for having a medical exam results that are too old, because they took too long to set the case for interviews. So my personal recommendation is to wait. When you receive your interview notice, you’re generally going to have about six or four weeks to get your case ready for interview. And they’re going to tell you that interview date four or six weeks down the road. And that’ll be plenty of time to get your medical exam in a sealed envelope.

So obviously as soon as you get the notice in those scenarios, you’re going to want to call the civil surgeon right away to get that set up, because you want to be able to bring the sealed envelope to the interview. But the one thing you don’t want to do is to send it sometime in between. So if you don’t submit it at the beginning, don’t send it a few weeks later, don’t send it two months later after you get your receipt. Just hold onto it and bring it to your medical. If you send it in to USCIS, I doubt that it’ll ever come to your alien file. And you’re just going to be left having to do it all over again. So that’s not something that’s fun. It does cost several hundred dollars to get this civil surgeon I-693 report, and so you want to make sure that you get that squared away and bring it to your interview properly.

If you have questions about the medical exam, or about civil surgeons or about the I-693 give us a call at 314-961-8200. You can email us at info@hackinglawpractice.com. Be sure to join us in our Facebook group. It’s called Immigrant Home. We share a lot of good information in there every day about the immigration scene in America. And if you like this video, we ask that you subscribe to our YouTube channel and share it out on social whenever you can. Thanks a lot. Have a great day.